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Sibley Memorial Hospital

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Quality and Safety

At Sibley, we are committed to quality. Our orthopedic services consistently rank better than the national average, and we're proud of that. The measures below are are good indications of hospital quality and are all connected — infections increase length of stay and readmissions, and discharging a patient too soon can result in a readmission. Sometimes complications are due to an underlying health issue or some other factor that can’t be controlled like an accident at home. Regardless of the circumstances, Sibley’s goal is to eliminate all readmissions and infections while keeping length of stay no longer than necessary.


Orthopaedic Surgery Statistics 

Readmission rateReadmissions:  When a patient needs to return to the hospital after being discharged. This can be because of complications in healing, reactions to medications, or accidents that happen at home during recovery.
Infection RateSurgical Site Infections:  An infection where the surgery was done, either on or under the skin. Infections can be caused by insufficient preparation of the patient for surgery, or inadequate hygiene during surgery or recovery.
Length of Stay Length of Stay: How long a patient remains in the hospital following the procedure. Safe physical activity in recovery helps the healing process and leads to faster rehabilitation and an earlier return to normal life.

 

 

 

Infection Control

Reducing infections is one of the best ways to improve patient safety. Proper hand washing is one of the most important steps we take to prevent the spreading of germs.

At Sibley, we have an active surveillance program to monitor hand washing for all caregivers. All caregivers are required to have flu shots and other vaccinations, and work as a team to make sure best practices are followed at all stages of care to avoid infection.

Still, any infection is unacceptable. We have a number of groups who are working to pinpoint where problems are happening and update processes so that infections can be eliminated.

 

Improving Length of Stay

Evaluating the best time for discharging an orthopedic patient is both science and art – going home too quickly increases the chance of injury or the need for additional care, but staying later than necessary can slow recovery and cause problems also.

To assist with this process, Sibley’s rehabilitation department specializes in evaluating patients, and is constantly refining their evaluation process.

 

Venous Thromboembolism (VTE) Prevention

VTEs are dangerous events caused when a blood clot forms in a vein and travels to the lung. Extended surgical stays, especially ones with minimal movement, are a major risk factor for VTEs.

While Sibley has VTE rates that are well below the national average (2% of knee procedures and .002% of hip procedures), a workgroup of surgeons, staff and pharmacists are looking at what can be done to better highlight VTE risk factors in our patients and intervene with medications, devices and activity to prevent VTEs.